Active NPI
Beverly Conner, FNP
- Nurse Practitioner
- Forest City, NC
National Provider Identifier
1922520311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5009665
- Practice address
- 136 Sparks Dr
Forest City, NC 28043-9021 - Phone
- (828) 288-6320
- NPI assigned
- Jul 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5009665 | NC | |
| Nurse Practitioner | 363L00000X | 5009665 | NC | Primary |
Addresses
Primary practice location
136 Sparks Dr
Forest City, NC 28043-9021
Mailing address
1100 Tunnel Rd
Asheville, NC 28805-2576
Phone (828) 298-7911
Other practice location 1
945 N 5th St
Albemarle, NC 28001-3417
Phone (980) 323-7790
Other practice location 2
4525 Cameron Valley Pkwy
Suite 3500
Charlotte, NC 28211-4369
Phone (704) 302-8300
Other practice location 3
1021 Morehead Medical Dr
Suite A
Charlotte, NC 28204-2990
Phone (980) 442-2000
Other practice location 4
100 Medical Park Dr
Suite 110
Concord, NC 28025-2948
Phone (704) 403-6826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5009665 | NC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1922520311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 TUNNEL RD",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288052576",
"telephone_number": "828-298-7911",
"fax_number": "828-299-5872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 SPARKS DR",
"city": "FOREST CITY",
"state": "NC",
"postal_code": "280439021",
"telephone_number": "828-288-6320"
}
],
"practiceLocations": [
{
"address_1": "945 N 5th St",
"address_purpose": "LOCATION",
"city": "Albemarle",
"state": "NC",
"postal_code": "280013417",
"country_code": "US",
"telephone_number": "980-323-7790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4525 Cameron Valley Pkwy",
"address_2": "Suite 3500",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282114369",
"country_code": "US",
"telephone_number": "704-302-8300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1021 Morehead Medical Dr",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282042990",
"country_code": "US",
"telephone_number": "980-442-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Medical Park Dr",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280252948",
"country_code": "US",
"telephone_number": "704-403-6826",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONNER",
"first_name": "BEVERLY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-07",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5009665",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5009665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.